Transobturator midurethral sling: What should patients expect after surgery?
Int Urogynecol J
; 29(1): 55-61, 2018 Jan.
Article
en En
| MEDLINE
| ID: mdl-28689238
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
Midurethral sling (MUS) surgeries are minimally invasive procedures; however, they are not free of postoperative complications. The aim of the study was to assess the occurrence of lower urinary tract symptoms (LUTS) (urgency, nocturia, frequency, splitting/spraying, hesitancy, terminal dribbling, and subjective feeling of postvoid residual) in patients suffering from stress (SUI) or mixed (MUI) urinary incontinence with a predominant SUI component before and after transobturator MUS placement.METHODS:
The study group consisted of 88 women with SUI and 18 with MUI who underwent transobturator MUS. All participants were questioned with a self-developed questionnaire before and after surgery regarding the presence of LUTS.RESULTS:
Seven days after surgery, 62 patients (58.5%) noted voiding and postmicturition symptoms, whereas 67 (63.2%) reported problems in storage. The more commonly reported LUTS at week 1 after surgery were urgency (52.8%), splitting/spraying (41.5%), and feeling of incomplete bladder emptying (34.0%). Patients perceived that splitting/spraying was the most bothersome. After 6 months, the most common LUTS reported were hesitancy (14.1%), terminal dribbling (10.4%), and splitting/spraying (9.4%). We noticed a decrease in the number of urgency episodes >2.7 times (p < 0.001) compared with baseline. After 6 months, 97 (91.5%) patients reported the lack of incontinence episodes.CONCLUSIONS:
A vast majority of patients after MUS suffer from LUTS in the early postoperative period; however, the majority of undesired symptoms resolve spontaneously within the first 6 months postsurgery.Palabras clave
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Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Incontinencia Urinaria de Esfuerzo
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Satisfacción del Paciente
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Cabestrillo Suburetral
Tipo de estudio:
Observational_studies
Límite:
Adult
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Female
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Humans
/
Middle aged
Idioma:
En
Año:
2018
Tipo del documento:
Article